I had my surgery 18 years ago, and 3 years ago I did skin surgery for my arms and a tummy tuck. I’m in my 60’s, and I couldn’t stand the loose skin anymore. Insurance did not cover it, because, it was considered cosmetic surgery. It was a little pricey, but, the only regret that I have, is that I didn’t do it sooner. (Had my arms done first, then the next year I did the tummy tuck). Good luck.